3 units - university of southern california · social work core competencies swk 615 course...

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Brief Therapy and Crisis Intervention “Suffering is inevitable… Misery is optional” Aaron Beck

Social Work 615

3 Units

I. COURSE PREREQUISITES

Students enrolled in SOWK 615 are required to have completed two semesters of foundation year practice.

II. CATALOGUE DESCRIPTION

Theory and multimodal approaches for brief therapy and crisis intervention with diverse clientele in a range of mental health and health settings.

Instructor: Erin Smokovich Dorflinger, LCSW

E-Mail: [email protected]

Course Day: Saturday

Office: 626-720-3013 Course Time: 8:00 AM- 9:15 AM PST

Office Hours: TBD Course Location: VAC

SOWK 615 Page ! of !1 25

mailto:[email protected]

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III. COURSE DESCRIPTION

SOWK 615, Brief Therapy and Crisis Intervention, is an advanced clinical practice course designed to teach second year practice students the theories and techniques of brief treatment and crisis intervention. Students will receive historical, theoretical, and clinical information sufficient to work with individuals, couples, families, groups, and organizations. Ethical, professional, transference, and counter transference issues will be addressed as they relate to brief therapy modalities.

IV. COURSE OBJECTIVES

V. COURSE FORMAT / INSTRUCTIONAL METHODS

This advanced practice course will be taught with a combination of didactic lecture, classroom discussion, videos, and experiential exercises. Students will be expected to work with a client in their field placement agency, applying course content and sharing the process of this experience with classmates.

VI. STUDENT LEARNING OUTCOMES

Student learning for this course relates to one or more of the following ten social work core competencies:

Objective # Objectives

1 Demonstrate knowledge of relevant brief therapy and crisis intervention theories.

2 Implement brief therapy and crisis intervention models and techniques with individuals’ families, groups and organizations.

3 Treat specific client problems and populations including, but not limited to: Ethnically, culturally and sexually diverse clients, psychiatric, mood and substance abuse issues, medical and community crises

4 Become knowledgeable about research based, best practice models and what client populations are best served by them.

5 Explore efficacy and ethical issues, raised by managed care and mandated brief therapy for clients.

Social Work Core Competencies SWK 615Course

Objective

1 Professional Identity * 1-5

2 Ethical Practice * 1-5

3 Critical Thinking * 1-5

4 Diversity in Practice * 1-5

5 Human Rights & Justice * 1-5

6 Research Based Practice * 1-5

7 Human Behavior * 1-5

8 Policy Practice * 1-5


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* Highlighted in this course

The following table explains the highlighted competencies for this course, the related student learning outcomes, and the method of assessment.

9 Practice Contexts * 1-5

10 Engage, Assess, Intervene, Evaluate * 1-5

Competencies/ Knowledge, Values, Skills Student Learning Outcomes Method of Assessment

Professional Identity―Identify as a professional social worker and conduct oneself accordingly.

Social workers competent in Professional Identity:

▪ Serve as representatives of the profession, its mission, and its core values.

▪ Know the profession’s history. ▪ Commit themselves to the profession’s

enhancement and to their own professional conduct and growth.

1. Advocate for client access to the services of social work.

• Brief Reaction Paper • Crisis Intervention

Demonstration • Application Exercise of

Brief Therapy • Brief Therapy

Demonstration • Class Discussions

2. Practice personal reflection and self-correction to ensure continual professional development.





3. Attend to professional roles and boundaries.





4. Demonstrate professional demeanor in behavior, appearance, and communication.





5. Engage in career-long learning.






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6. Use supervision and consultation.





Competencies/ Knowledge, Values, Skills Student Learning Outcomes Method of Assessment

Ethical Practice―Apply social work ethical principles to guide professional practice.

Social workers competent in Ethical Practice:

▪ Fulfill their obligation to conduct themselves ethically and to engage in ethical decision-making.

▪ Are knowledgeable about the value base of the profession, its ethical standards, and relevant law.

7. Recognize and manage personal values in a way that allows professional values to guide practice.




Demonstration •Class Discussions

8. Make ethical decisions by applying standards of the National Association of Social Workers Code of Ethics.





9. Tolerate ambiguity in resolving ethical conflicts.





10. Apply strategies of ethical reasoning to arrive at principled decisions.






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Critical Thinking―Apply critical thinking to inform and communicate professional judgments.

Social workers competent in Critical Thinking:

▪ Are knowledgeable about the principles of logic, scientific inquiry, and reasoned discernment.

▪ Use critical thinking augmented by creativity and curiosity.

▪ Understand that critical thinking also requires the synthesis and communication of relevant information.

11. Distinguish, appraise, and integrate multiple sources of knowledge, including research-based knowledge, and practice wisdom.





12. Analyze models of assessment, prevention, intervention, and evaluation.





13. Demonstrate effective oral and written communication in working with individuals, families, groups, organizations, communities, and colleagues.





Diversity in Practice―Engage diversity and difference in practice.

Social workers competent in Diversity in Practice:

▪ Understand how diversity characterizes and shapes the human experience and is critical to the formation of identity.

▪ Recognize that the dimensions of diversity reflect intersectionality of multiple factors including age, class, color, culture, disability, ethnicity, gender, gender identity and expression, immigration status, political ideology, race, religion, sex, and sexual orientation.

▪ Appreciate that, as a consequence of difference, a person’s life experiences may include oppression, poverty, marginalization, and alienation as well as privilege, power, and acclaim.

14. Recognize the extent to which a culture’s structures and values may oppress, marginalize, alienate, or create or enhance privilege and power.

• Brief Reaction Paper

15. Gain sufficient self-awareness to eliminate the influence of personal biases and values in working with diverse groups.

• Crisis Intervention Demonstration

16. Recognize and communicate understanding of the importance of difference in shaping life experiences.

• Application Exercise of Brief Therapy

17. View themselves as learners and engage those with whom they work as informants.






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Human Rights & Justice―Advance human rights and social and economic justice.

Social workers competent in Human Rights & Justice:

▪ Acknowledge that each person, regardless of position in society, has basic human rights, such as freedom, safety, privacy, an adequate standard of living, health care, and education.

▪ Recognize the global interconnections of oppression and are knowledgeable about theories of justice and strategies to promote human and civil rights.

▪ Incorporates social justice practices in organizations, institutions, and society to ensure that these basic human rights are distributed equitably and without prejudice.

18. Understand the forms and mechanisms of oppression and discrimination.


Demonstration

19. Advocate for human rights and social and economic justice. • Application Exercise of



20. Engage in practices that advance social and economic justice.





Research Based Practice―Engage in research-informed practice and practice-informed research.

Social workers competent in Research Based Practice:

▪ Use practice experience to inform research, employ evidence-based interventions, evaluate their own practice, and use research findings to improve practice, policy, and social service delivery.

▪ Comprehend quantitative and qualitative research and understand scientific and ethical approaches to building knowledge.

21. Use practice experience to inform scientific inquiry.





22. Use research evidence to inform practice.





Human Behavior―Apply knowledge of human behavior and the social environment.

Social workers competent in Human Behavior:

▪ Are knowledgeable about human behavior across the life course; the range of social systems in which people live; and the ways social systems promote or deter people in maintaining or achieving health

23. Utilize conceptual frameworks to guide the processes of assessment, intervention, and evaluation.






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people in maintaining or achieving health and well-being.

▪ Apply theories and knowledge from the liberal arts to understand biological, social, cultural, psychological, and spiritual development.

24. Critique and apply knowledge to understand person and environment.





Policy Practice―Engage in policy practice to advance social and economic well-being and to deliver effective social work services.

Social workers competent in Policy Practice:

▪ Understand that policy affects service delivery, and they actively engage in policy practice.

▪ Know the history and current structures of social policies and services, the role of policy in service delivery, and the role of practice in policy development.

25. Analyze, formulate, and advocate for policies that advance social well-being.





26. Collaborate with colleagues and clients for effective policy action.





Practice Contexts―Respond to contexts that shape practice.

Social workers competent in Practice Contexts:

▪ Are informed, resourceful, and proactive in responding to evolving organizational, community, and societal contexts at all levels of practice.

▪ Recognize that the context of practice is dynamic, and use knowledge and skill to respond proactively.

27. Continuously discover, appraise, and attend to changing locales, populations, scientific and technological developments, and emerging societal trends to provide relevant services.





28. Provide leadership in promoting sustainable changes in service delivery and practice to improve the quality of social services.






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Engage, Assess, Intervene, Evaluate―Engage, assess, intervene, and evaluate with individuals, families, groups, organizations and communities.

Social workers competent in the dynamic and interactive processes of Engagement, Assessment, Intervention, and Evaluation apply the following knowledge and skills to practice with individuals, families, groups, organizations, and communities.

▪ Identifying, analyzing, and implementing evidence-based interventions designed to achieve client goals

▪ Using research and technological advances

▪ Evaluating program outcomes and practice effectiveness

▪ Developing, analyzing, advocating, and providing leadership for policies and services

▪ Promoting social and economic justice

29. Engagement:

Substantively and affectively prepare for action with individuals, families, groups, organizations, and communities.

Use empathy and other interpersonal skills.

Develop a mutually agreed-on focus of work and desired outcomes.





30. Assessment:

Collect, organize, and interpret client data.

Assess client strengths and limitations.

Develop mutually agreed-on intervention goals and objectives.

Select appropriate intervention strategies.





31. Intervention:

Initiate actions to achieve organizational goals.

Implement prevention interventions that enhance client capacities.

Help clients resolve problems.

Negotiate, mediate, and advocate for clients.

Facilitate transitions and endings.





32. Evaluation: Critically analyze, monitor, and evaluate interventions.






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VII.COURSE ASSIGNMENTS, DUE DATES & GRADING

Each of the major assignments is described below.

Class grades will be based on the following:

ASSIGNMENT #1: BRIEF REACTION PAPER – 10% Due on Unit 4 During the week of Unit 4, the student will watch the HBO documentary “Bellevue Inside Out”. For VAC students, the film is located in Unit 4 of your asynchronous material. All other students may access the film via the internet at http://www.youtube.com/watch?v=1nVEN1Reeaw&list=PL64D75B9549BB123D. The student will be required to write a short paper (3 pages maximum) which includes a brief overview of the film, discusses pertinent themes/issues and applies knowledge of crisis theory and intervention to an individual from the film. The student will be graded on how well they demonstrate an understanding of and application of topics discussed in class and the reading material.

I. Introduction

a. Provide a brief overview of the film. (Limit your discussion to 1-2 paragraphs)

b. Include a discussion of the key topic/subject of the film and what you feel is its overall purpose.

c. Discuss how the film relates to course material/content.

II. Reaction/Analysis- Discuss a minimum of 2 of the following:

• Do you think the film overlooked or left out anything important? What?

• Did the film hold your interest? Why or why not?

• What did you realize as the result of watching this film?

• What questions does the film raise for you—about the material or other issues?

• Did the film challenge your existing views about mental health crisis?

III. Application

Select an individual from the documentary.

a. Using crisis theory describe the development of the crisis for this individual.

Assignment Due Date % of Final Grade

#1-Brief Reaction Paper Unit 4 10%

Midterm – Crisis Intervention Demonstration Unit 8 35%

#2 -Application Exercise of Brief Therapy Unit 12 10%

Brief Therapy Demonstration Finals Week 35%

Class Participation On going 10%


http://www.youtube.com/watch?v=1nVEN1Reeaw&list=PL64D75B9549BB123D

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b. How would you apply the Robert’s crisis intervention model to your work with this individual? For example, if the client identifies substance abuse as the last straw precipitant, discuss how you might help the client to generate and explore alternative ways to cope/manage their psychiatric symptoms as means of decreasing future crisis and build resiliency.

c. Identify and briefly discuss potential barriers to implementation of your intervention. How might you decrease these barriers?

CRISIS INTERVENTION DEMONSTRATION – 35% Due on Unit 8 The purpose of the midterm assignment is to integrate learning obtained from the unit readings and discussion about crisis intervention and apply it to a clinical case. The 2-part assignment will consist of a role play exercise and a critical analysis/reflective written paper. Both parts of the midterm assignment are due during the week of Unit 8. The date to be determined by your instructor. Papers may be submitted via the course assignment upload page at the VAC or emailed to the instructor (UPC students). Papers and recordings not received by the deadline will lose half a grade point for each day they are late. Your instructor will provide written instructions on how to record and submit your role play recordings.

The objective of Part 1 of this assignment is to demonstrate an understanding of and ability to apply the Robert’s 7 Stage crisis intervention model within a single session. In Part 1 the student will record an unrehearsed, spontaneous crisis intervention “session” that lasts 30-45 minutes in length. The student will be the therapist. The student will receive case vignettes of three potential clients. The student may select which case vignette they wish to work with. In the case vignette, the student will be provided with a limited amount of biopsychosocial information. The student will be responsible for completing a brief crisis assessment in their demonstration which includes an assessment of lethality. The crisis assessment should also include a discussion and identification of any relevant hazards and final straw precipitants as well as relevant coping mechanisms the client engages that are pertinent to understanding the dimensions of the problem in stage 3. Students will be expected to offer interventions consistent with the problem identified in the assessment and demonstrative of the remaining 5 stages of the Robert’s crisis intervention model which include, dealing with feelings, generating alternatives, developing action plan and plans for follow up. Finally, students must demonstrate basic attending skills demonstrated throughout the session that support the development of rapport which is the goal of stage 2. This may include verbal or non-verbal skills.

The objective of Part 2 of the assignment is for the student to review and reflect upon their demonstration. In Part 2 the student will review the role play recording and write a 6-8 page, double spaced, typed paper where you answer each of the questions below. Students are not required to utilize any outside literary resources to complete the written portion of the assignment and students may utilize the first person perspective.

1. Identify 2 interventions you feel you executed exceptionally well. Why did you select these interventions?

2. Identify 2 interventions that you feel you need to focus on improving. Why did you select these interventions? After reviewing the video how would you improve upon these interventions? Give an example of how you would revise each of the interventions.

3. How did you conceptualize the client’s problem using the crisis formation discussed in class? 4. Was this conceptualization consistent with the interventions that you offered? Discuss the

connection between the two. If your understanding of the problem was inconsistent with the interventions offered, how would you make them consistent? Give an example of how you might change either your understanding of the problem or the interventions and discuss.


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5. Did you assess potential legal and ethical considerations? If you did what client factors led you to make these considerations? If you did not what client factors led you to not make these considerations?

6. How did you operationalize the Robert’s crisis intervention model in your session? Provide 1 example of an intervention that is representative of each of the stages? Identify and discuss 1 pro and 1 con to use of this model when conducting crisis intervention.

The evaluation of the paper will be based on whether you addressed all aspects of the assignment, and the quality of your written work (organization, flow, clarity, grammar, spelling).

The assignment is worth 35% of your overall grade for this course.

ASSIGNMENT #2 APPLICATION OF BRIEF THERAPEUTIC METHODS—10% Due on Unit 12 During Unit 10, the student will watch episode of A&E “Obsessed” which explores symptoms and treatment of Obsessive Compulsive Disorder utilizing CBT. Students will be given instruction on how to obtain the media for this assignment from their instructor. The student will select an individual from the episode and apply knowledge of CBT theory and clinical skills discussed during class and in the reading material. The student will be required to select either Sharon or Patricia and discuss the following:

Conceptualize the client’s problem utilizing cognitive behavioral formulation. • Identify automatic thoughts and core schema demonstrated by the selected individual.

o Automatic thoughts and core schema may not be explicitly identified and the student’s discussion of these elements may be hypothesized based on the information given.

• Identify emotional and behavioral responses/compensatory strategies that the individual engages in.

o Include a discussion of the resulting functional impairments caused by these behaviors.

• Include discussion and identify any psychosocial history which may be used to explain and understand the development and maintenance of symptoms. Include identification of any relevant psychosocial stressors experienced by the individual discussed.

Identify and describe 2 interventions demonstrated by the therapist that addressed the selected individual’s cognitions.

• What cognitive interventions would you add? Describe how you would integrate these interventions into treatment (i.e. use of automatic thought records, generating rational alternatives, decatastrophizing etc.)

Identify and describe 2 interventions demonstrated by the therapist that addressed the selected individual’s behavioral responses. Describe 1 additional behavioral intervention you would add to enhance the overall efficacy of treatment with this individual? (This may include activity scheduling, activation etc.)

Describe barriers that the client demonstrated and evaluate how the therapist managed these throughout the treatment process.

• What additional methods could be utilized to manage barriers or obstacles to change in the therapeutic process?


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o You may include a discussion of how you would utilize CBT to work with barriers within treatment, psychoeducation, motivational interviewing, relapse prevention etc.

BRIEF TREATMENT INTERVENTION DEMONSTRATION AND CRITICAL ANALYSIS– 35% Due during finals week.

The final assignment will apply Brief Treatment clinical skills learned in Units 8-14. The 2-part assignment will consist of a role play exercise and a critical analysis/reflective written paper.

The objective of Part 1 of this assignment is to demonstrate an understanding of skills learned by application of them within a recorded session.

In Part 1 the student will record an unrehearsed, spontaneous therapy “session”. The student will be the therapist. The student will receive case vignettes of three potential clients at the conclusion of Unit 14. The student will randomly select a client that will be role played when they arrive to their “session”. In the case vignette, the student will be provided with all of the relevant biopsychosocial data that they would obtain by conducting an assessment. The student will assume that sufficient time has passed to develop the therapeutic relationship with their client. The session should be reflective of sessions in the “middle phase” of treatment which may be session 2 and beyond. The student should review the case vignettes and develop a “working hypothesis” or case conceptualization prior to the start of the session. The student may begin their “session” with a discussion with your client about this conceptualization/hypothesis.

The student may practice/prepare for the role play prior to taping, and it is encouraged that you consider potential issues that the “client” may present with and how to address these issues within the session. Students will not have the opportunity to “start over” however, may address any areas of improvement in Part 2 of the assignment. Finally, students may not script sessions. The purpose of the assignment is to approach the session as you would one in your clinical practice.

VAC Students: Contact student support 24 hours prior to completion of your recorded session if you would like to have a conference line connected to your room. Please note that it takes a minimum of 24 hours for recorded session to be available to review on the VAC platform.

The student will have a maximum of 30-45 minutes for their session. During the session, the student will utilize clinical skills from Cognitive Behavioral and/or Solution Focused Therapy Brief treatment models. The student may utilize an “eclectic” approach however, no more than 10% of interventions utilized may be outside of those discussed in class. Examples of interventions may include but are not limited to: the miracle question, Socratic questioning, homework assignments, exposure, decatastrophizing, activity scheduling, etc. There is no expectation of a minimum or maximum number of interventions, however, those offered should be appropriate to the “clients” presenting problem.

The objective of Part 2 of the assignment is for the student to review and reflect upon their clinical work conducted in Part 1.

In Part 2 the student will review the recorded session and complete a written critical analysis and reflection about their role play. The written part of the final should be 6-8 pages and includes a discussion of the following:

Introduce the interviewee or client: • Describe the interviewee or client in terms of their age, gender, ethnicity, race, sexual orientation,

spirituality or other relevant social identities. • Describe the presenting problem. Include any relevant biopsychosocial data as it relates to

understanding/explaining the “clients” presenting problem. Since this information was provided to the student, your discussion should not exceed 1 page and should include a brief discussion of the students’ formulation of the client’s presenting problem.

Analysis and Critique


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The student is required to analyze and evaluate a minimum of 5 skills/interventions demonstrated in the role play. No more than 1 may be a basic interviewing or attending skill (i.e. open ended questioning, empathic/reflective listening etc.) The student will include the interview dialogue that is being discussed and evaluated. The student should use quotes and/or describe how they used the intervention/skills within the session. The student will analyze their role play, identifying the skill that is being demonstrated in the dialogue. In your analysis, include a discussion about the clinical rationale/intent of the skill/intervention demonstrated.

Finally, the student will critically evaluate the skill/intervention utilized, specifically discussing the relevant strengths and weaknesses; and any modifications you would make to your use of the skill/intervention. If there was not an opportunity during the interview to demonstrate a particular skill, include a discussion with an example of how you may have utilized the skill/intervention if the occasion had arisen to do so.

Personal Reflection To conclude their written analysis and critique, the student will reflect upon their overall ability to implement brief treatment interventions that were discussed throughout the course. The student should identify areas of growth as well as areas of continued practice and study that they may have at the conclusion of the course.

The student will be graded on how well they execute the brief treatment interventions utilized (40%) and their overall analysis and critique of skills demonstrated (50%). Finally, they will be graded on the overall organization and clarity of their written work. (10%) The assignment does not require the use of any outside resources, however, if the student choses to do so, all work must be cited utilizing 6th edition APA format guidelines and include a reference page. On your cover page, the student must include the URL for the recorded session which will be reviewed by the instructor, or provide a DVD or other electronic version of the recording. UPC Students: You may utilize Google Drive or Dropbox to share your video link with your instructor.

The student’s written assignment must be emailed/uploaded to the assignment page by a date to be determined by the instructor. Late assignments will be penalized a half grade point for each 24 hour period after the due date, the assignment is turned in.

CLASS PARTICIPATION - 10%

Student is expected to come to and remain in class for entire sessions. Student is expected to participate in class discussions. Texting and working on anything other than course material is considered not participating and participations points will be deducted accordingly.

Grading Standards

Class Grades Final Grade

3.85 – 4 A 93 – 100 A

3.60 – 3.84 A- 90 – 92 A-

3.25 – 3.59 B+ 87 – 89 B+

2.90 – 3.24 B 83 – 86 B

2.60 – 2.87 B- 80 – 82 B-

2.25 – 2.50 C+ 77 – 79 C+

1.90 – 2.24 C 73 – 76 C

3. – 72 C-


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Grades of A or A- are reserved for student work which not only demonstrates very good mastery of content but which also shows that the student has undertaken a complex task, has applied critical thinking skills to the assignment, and/or has demonstrated creativity in her or his approach to the assignment. The difference between these two grades would be determined by the degree to which these skills have been demonstrated by the student. A grade of B+ will be given to work which is judged to be very good. This grade denotes that a student has demonstrated a more-than-competent understanding of the material being evaluated in the assignment. A grade of B will be given to student work which meets the basic requirements of the assignment. It denotes that the student has done adequate work on the assignment and meets basic course expectations. A grade of B- will denote that a student’s performance was less than adequate on an assignment, reflecting only moderate grasp of content and/or expectations. A grade of C would reflect a minimal grasp of the assignment, poor organization of ideas and/or several significant areas requiring improvement.

Grades between C- and F will be applied to denote a failure to meet minimum standards, reflecting serious deficiencies in all aspects of a student’s performance on the assignment.

REQUIRED AND SUPPLEMENTARY INSTRUCTIONAL MATERIALS & RESOURCES

Required Textbooks

The following textbooks are required readings for SOWK 615. Each book was carefully chosen to expose students to the most essential concepts for this course. There are very few articles on the reading list. We understand that these books are expensive. There are alternative methods for retrieving the readings, including accessing digital copies of books on library reserve services, renting text books from commercial online services, etc.

Berg, I. & de Jong, P. (2012). Interviewing for solutions. 4th Edition. New York: Thompson Brooks/Cole.

Roberts, A. (Eds.). (2005).Crisis intervention handbook. New York: Oxford University Press.

Wright, J., Basco, M. & Thase, M. (2006) Learning Cognitive Behavior Therapy: An illustrated guide. Washington, DC: American Psychiatric Publishing, Inc.

Course readings outside of the course texts may be located on ARES. Additional required and recommended readings may be assigned by the instructor throughout the course.

Course Overview Unit Topics Assignments

1 Course Introduction Overview of Course Expectations Introduction to Crisis Theory


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2 Introduction to Crisis Intervention Clinical Skills General Engagement Skills Crisis Assessment Robert’s 7-Stage Crisis Intervention Model

3 Crisis Intervention: Legal and Ethical Considerations Mandated Reporting Laws and Professional Guidelines

Child Abuse / Neglect/ Child Sexual Involvement Elder / Dependent Abuse / Neglect Danger to Self Danger to Other or Property / Tarasoff Notification / Duty to Warn

4 Crisis Intervention with Special Populations: People with Psychiatric Disorders

Overview of DSM-IV-TR Diagnostic Criteria Crisis Assessment, Establishing Clinical Goals, and Treatment Planning

Video Activity

Assignment #1 Due

5 Crisis Intervention with Special Populations: Substance Abuse and Intimate Partner Violence ➢ Substance Abuse: Signs and Symptoms

➢ Crisis Assessment and Management of Substance Related Issues

➢ Intimate Partner Violence: Assessment and Clinical Skills

6 Crisis Intervention with Special Populations: Grief, Loss, and Medical Crises

Types of Medical / Health Crises Single Session Crisis Intervention Elisabeth Kubler-Ross’s Stages of Grief and Loss Crisis of Loss: Assessment, Treatment Planning, and Clinical Skills

7 Types of Group and Organizational Crises Critical Incident Stress Debriefing (CISD) Vicarious and Secondary Trauma: Help for the Helper

Unit Topics Assignments


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8 Introduction to Brief Treatment Modalities: Cognitive Behavioral Therapy

Cognitive Behavioral Therapy: Theory and Basic Principles Assessment, Problem Formulation, and Treatment Planning General Worker Tasks and Interventions at the Beginning, Middle, and Termination Phases of Treatment Evaluation of Progress and Treatment Outcomes Measurements

Midterm Assignment Due

9 Cognitive Behavioral Therapy Clinical Skills Development Identification, Evaluation, and Modification of Automatic Thoughts and Core Schema

Common Problems and Pitfalls

10 Cognitive Behavioral Therapy: Clinical Skills Development Behavioral Skills Training

11 Cognitive Behavioral Therapy with Special Populations: Clinical Skills Application to People Addictive Disorders

Application of Clinical Skills Identifying and Overcoming Resistance and Barriers to Change

12 Solution Focused Therapy: Basic Principles Theory, Assessment, and Problem Formation

Assignment #2 Due

13 Solution Focused Therapy: Clinical Skills Development Working with clients strengths and “building solutions”: Miracle Question, Exception Finding, Scaling, and Coping Questions Evaluation of Progress and Treatment Outcomes Measurements

14 Solution Focused Therapy: Clinical Skills Application to Psychiatric Disorders

Assessment and Clinical Intervention

15 Course Review, Wrap Up and Course Evaluation Course Wrap-Up Course Evaluations

STUDY DAYS / NO CLASSES

FINAL EXAMINATIONS

Unit Topics Assignments


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Course Schedule―Detailed Description

Required Readings Roberts, A. (Eds.). (2005).Crisis intervention handbook: Introduction, Chapter 1 (pgs. 3-18)

Dykeman, B. (2005) Cultural implications of crisis intervention. Journal of Instructional Psychology. 32.1

Required Readings Meijers, Joop. (2007) Problem Solving and Crisis Intervention. In Dattilio, F. and Freeman, A. Cognitive

Behavioral Strategies in Crisis Situation. pp. 456-475. New York: Guilford Press

Roberts, A. (Eds.). (2005).Crisis intervention handbook. Chapter 1 (pgs. 19-33) & 3

Roberts, A. and Ottens, A. (2005). The Seven Stage Crisis Intervention Model: A Road Map to Goal Attainment, Problem Solving and Crisis Resolution. Brief Treatment and Crisis Intervention. 5. 4.

Required Readings California Department of Social Services, Office of Child Abuse Prevention: The California Child Abuse

and Neglect Reporting Law. Booklet.

Meichenbaum, D. (2005). 35 years of working with suicidal patients: Lessons learned. Canadian Psychologist. 46, 2.

Roberts, A. (Eds.) (2005).Crisis intervention handbook. Chapter 2.

Unit 1: Course Introduction and OverviewTopics

Course Introduction Overview of Course Expectations Introduction to Crisis Intervention Theory Culture and Crisis Development and Intervention

Unit 2: Introduction to Crisis Intervention Theory and Clinical Skills

Topics Introduction to Crisis Intervention Clinical Skills

Crisis Assessment Application of Robert’s Model of Crisis Intervention

Unit 3: Crisis Intervention: Legal and Ethical ConsiderationsTopics

Crisis Intervention: Legal and Ethical Considerations Mandated Reporting Laws and Professional Guidelines

Child Abuse / Neglect/Child Sexual Involvement Elder / Dependent Abuse / Neglect Danger to Self Danger to Other or Property / Tarasoff Notification / Duty to Warn


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VandeCreek, L and Knapp, S. (2007) Legal and Ethical Issues in Crisis Intervention. In Dattilio, F. and Freeman, A. Cognitive Behavioral Strategies in Crisis Situation. pp. 531-543. New York: Guilford Press

Handout: Steps in Ethical Decision Making Process

Required Readings Ball, J., Links, P., Strike, C., Boydell, K. (2005). It's overwhelming... Everything seems to be too much: A

theory of crisis formation for individuals with severe and persistent mental illness. Psychiatric Rehabilitation Journal, Summer, 29, 1; 10.

Roberts, A. (Eds.). (2005).Crisis intervention handbook. Chapters 4, 6 (pgs.161-167) & 26 (pgs. 619-630).

U.S Department of Health and Human Services: Practice Guidelines Core Elements in Responding to Mental Health Crises. Pgs. 1-26.

Required Readings Freeman, S. and Storie, M. (2007) Substance Misuse and Dependency: Crisis As Process of Outcome. In

Dattilio, F. and Freeman, A. Cognitive Behavioral Strategies in Crisis Situation. pp.175-198. New York: Guilford Press

Kanel, K. (2007). A guide to crisis intervention. Chapter 10 &12 (pp. 220-230).

Roberts, A. (Eds.). (2005). Crisis intervention handbook. Chapters 19 & 24.

Unit 4: Crisis Intervention with Special Populations: People with Psychiatric Disorders

Topics Crisis Intervention with Special Populations: People with Psychiatric Disorders

Overview of DSM-IV-TR Diagnostic Criteria Crisis Assessment, Treatment Planning, and Clinical Skills

Unit 5: Crisis Intervention with Special Populations: Substance Abuse and Intimate Partner Violence

Topics Crisis Intervention with Special Populations: Substance Abuse and Intimate Partner Violence ➢ Substance Abuse: Signs and Symptoms ➢ Crisis Assessment and Management of Substance Related Issues ➢ Intimate Partner Violence: Clinical Assessment and Skills

Unit 6: Crisis Intervention with Special Populations: Grief, Loss, and Medical/Health Related Crises

Topics Crisis Intervention with Special Populations: Grief, Loss, and Medical / Health Crises

Medical Social Work: Roles and Responsibilities Crisis Intervention in Medical Settings Elisabeth Kubler-Ross’s Stages of Grief and Loss Crisis of Loss: Assessment, Treatment Planning, and Clinical Skills


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Required Readings Dattilio, F., Davis, E. and Goisman, R. (2007) Crisis with Medical Patients. In Dattilio, F. and Freeman, A. Cognitive Behavioral Strategies in Crisis Situation. pp. 199-219. New York: Guilford Press

Deranieri, J. Clements, P, Henry, G. (2002) When catastrophe happens: Assessment and intervention after sudden traumatic death. Journal of Psychosocial Nursing & Mental Health Services. 40. 4

NASW Standards for Palliative and End of Life Care.

Roberts, A. (Eds.). (2005).Crisis intervention handbook. Chapters 12 and 23

Unit 7: Family and Large Scale Crisis Worker Burnout and Compassion Fatigue

Topics Types of Large Scale Natural and Man Made Disasters Families in Crisis Psychological First Aid Vicarious and Secondary Trauma: Help for the Helper

Required Readings Dattilio, F. (2007) Families in Crisis. In Dattilio, F. and Freeman, A. Cognitive Behavioral Strategies in Crisis Situation. pp. 333-351. New York: Guilford Press

Price, S, Price, C and McKerney, P. (Eds.) (2010) Families and Change: Coping With Stressful Events and Transitions. Sage Publications. Families Coping with Change: A Conceptual Overview. Chapter 1.

Psychological First Aid- MRC Field Operations Guide

Roberts, A. (Eds.). (2005).Crisis intervention handbook Chapter 9.

Rothschild, B. and Rand, M. (2006). Help for the helper: the psychophysiology of compassion fatigue and vicarious trauma. New York: W.W. Norton and Company. Chapter 3.

Unit 8: Introduction to Brief Treatment Modalities: Cognitive Behavioral Therapy

Topics Introduction to Brief Treatment: Cognitive Behavioral Therapy

Cognitive Behavioral Therapy: Theory and Basic Principles Assessment, Problem Formulation, and Treatment Planning

Required Readings Corcoran, J. (2005). Building strengths and skills: A collaborative approach to working with clients. Oxford University Press: New York. Chapters 3 & 5 (pp.88-89; 92-103).

Dudley, R., Kuyken, W., Padesky, C. (2009) Collaborative Case Conceptualization: Working Effectively with Client in Cognitive Behavioral Therapy.

Wright, J., Basco, M. & Thase, M. (2006). Learning cognitive-behavior therapy: An illustrated guide. Chapter 1, 2, & 3.


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Required Readings Wright, J., Basco, M. & Thase, M. (2006) Learning Cognitive Behavior Therapy: An illustrated guide. Chapters 6 & 7.

Required Readings Frances R., Miller, S. & Mack, A. (Eds.) (2005) Clinical textbook of addictive disorders (3rd ed.) New York.

Guilford Press. Chapter 22

Quick Guide for Clinicians: Brief Interventions and Brief Therapy of Substance Abuse. SAMSHA (2001).

Unit 8: Introduction to Brief Treatment Modalities: Cognitive Behavioral Therapy

Unit 9: Cognitive Behavioral Therapy Clinical SkillsTopics

Cognitive Behavioral Therapy Clinical Skills General Worker Tasks and Interventions at the Beginning, Middle, and Termination Phases of Treatment Identification, Evaluation, and Modification of Automatic Thoughts and Core Schema

Common Pitfalls and Problems Evaluation of Progress and Treatment Outcomes Measurements

Required Readings Wright, J., Basco, M. & Thase, M. (2006). Learning Cognitive Behavior Therapy: An illustrated guide. Chapters 5, 8 & 9.

Unit 10: Cognitive Behavioral Therapy Clinical Skills Topics

Cognitive Behavioral Therapy Clinical Skills Behavioral Skills Training

Unit 11: Cognitive Behavioral Therapy with Special Populations: Clinical Skills Application to People with Addictive Disorders

Topics Cognitive Behavioral Therapy with Special Populations: Clinical Skills Application to People with Addictive Disorders

Application of Clinical Skills Identifying and Overcoming Resistance and Barriers to Change

Unit 12: Solution Focused Therapy: Basic PrinciplesTopics


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Solution Focused Therapy: Basic Principles Theory, Assessment and Problem Formation

Required Readings Berg, I. and de Jong, P. (2012). Interviewing for solutions. Chapters 1, 2, 3 &15. Pgs. 380-384; 390

Unit 12: Solution Focused Therapy: Basic Principles

Unit 13: Solution Focused Therapy: Clinical Skills Development

Topics Solution Focused Therapy: Clinical Skills Development

General Worker Tasks and Interventions throughout Beginning, Middle, and Termination Phases of Treatment Working with clients strengths and “building solutions”: Miracle Question, Exception Finding, Scaling, and Coping Questions

Common Pitfalls and Problems Evaluation of Progress and Treatment Outcomes Measurements

Required Readings Berg, I. and de Jong, P. (2012). Interviewing for solutions. Chapters 4, 5, 6, 8 & pgs. 386-396; 404

Unit 14: Solution Focused Therapy: Clinical Skills Application to Psychiatric Disorders

Topics Solution Focused Therapy: Clinical Skills Application to Psychiatric Disorders

Assessment and Clinical Interventions

Required Readings Berg, I. and de Jong, P. (2012). Interviewing for solutions. Pgs. 397-404

Corcoran, J. (2005). Building strengths and skills: A collaborative approach to working with clients. Oxford University Press: New York. Chapter 8.

Guterman, J. (2010) Advanced Techniques for Solution Focused Counseling. (Handout)

Unit 15: Final Assignment Demonstrations, Wrap-Up, and Course Evaluation

Topics Course Review, Wrap-Up, and Course Evaluation

Course Wrap-Up Course Evaluations


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University Policies and Guidelines

VIII.ATTENDANCE POLICY

Students are expected to attend every class and to remain in class for the duration of the unit. Failure to attend class or arriving late may impact your ability to achieve course objectives which could affect your course grade. Students are expected to notify the instructor by email of any anticipated absence or reason for tardiness.

University of Southern California policy permits students to be excused from class for the observance of religious holy days. This policy also covers scheduled final examinations which conflict with students’ observance of a holy day. Students must make arrangements in advance to complete class work which will be missed, or to reschedule an examination, due to holy days observance.

Please refer to Scampus and to the USC School of Social Work Student Handbook for additional information on attendance policies.

IX. STATEMENT ON ACADEMIC INTEGRITY

USC seeks to maintain an optimal learning environment. General principles of academic honesty include the concept of respect for the intellectual property of others, the expectation that individual work will be submitted unless otherwise allowed by an instructor, and the obligations both to protect one’s own academic work from misuse by others as well as to avoid using another’s work as one’s own. All students are expected to understand and abide by these principles. SCampus, the Student Guidebook, contains the Student Conduct Code in Section 11.00, while the recommended sanctions are located in Appendix A: http://www.usc.edu/dept/publications/SCAMPUS/gov/. Students will be referred to the Office of Student Judicial Affairs and Community Standards for further review, should there be any suspicion of academic dishonesty. The Review process can be found at: http://www.usc.edu/student-affairs/SJACS/.

Additionally, it should be noted that violations of academic integrity are not only violations of USC principles and policies, but also violations of the values of the social work profession.

X. STATEMENT FOR STUDENTS WITH DISABILITIES

Any student requesting academic accommodations based on a disability is required to register with Disability Services and Programs (DSP) each semester. A letter of verification for approved accommodations can be obtained from DSP. Please be sure the letter is delivered to the instructor as early in the semester as possible. DSP is located in STU 301 and is open from 8:30 a.m. to 5:00 p.m., Monday through Friday. The phone number for DSP is (213) 740-0776.

XI. EMERGENCY RESPONSE INFORMATION

To receive information, call main number (213)740-2711, press #2. “For recorded announcements, events, emergency communications or critical incident information.”

To leave a message, call (213) 740-8311

For additional university information, please call (213) 740-9233

Or visit university website: http://emergency.usc.edu

If it becomes necessary to evacuate the building, please go to the following locations carefully and using stairwells only. Never use elevators in an emergency evacuation.


http://www.usc.edu/dept/publications/SCAMPUS/gov/

http://www.usc.edu/student-affairs/SJACS/

http://emergency.usc.edu/

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Students may also sign up for a USC Trojans Alert account to receive alerts and emergency notifications on their cell phone, pager, PDA, or e-mail account. Register at https://trojansalert.usc.edu.

Do not re-enter the building until given the “all clear” by emergency personnel.

XII.STATEMENT ABOUT INCOMPLETES

The Grade of Incomplete (IN) can be assigned only if there is work not completed because of a documented illness or some other emergency occurring after the 12th week of the semester. Students must NOT assume that the instructor will agree to the grade of IN. Removal of the grade of IN must be instituted by the student and agreed to be the instructor and reported on the official “Incomplete Completion Form.”

XIII.POLICY ON LATE OR MAKE-UP WORK

Papers are due on the day and time specified. Extensions will be granted only for extenuating circumstances. If the paper is late without permission, the grade will be affected.

XIV.POLICY ON CHANGES TO THE SYLLABUS AND/OR COURSE REQUIREMENTS

It may be necessary to make some adjustments in the syllabus during the semester in order to respond to unforeseen or extenuating circumstances. Adjustments that are made will be communicated to students both verbally and in writing.

XV.CODE OF ETHICS OF THE NATIONAL ASSOCIATION OF SOCIAL WORKERS

Approved by the 1996 NASW Delegate Assembly and revised by the 2008 NASW Delegate Assembly [http://www.socialworkers.org/pubs/Code/code.asp]

Preamble

The primary mission of the social work profession is to enhance human wellbeing and help meet the basic human needs of all people, with particular attention to the needs and empowerment of people who are vulnerable, oppressed, and living in poverty. A historic and defining feature of social work is the profession’s focus on individual wellbeing in a social context and the wellbeing of society. Fundamental to social work is attention to the environmental forces that create, contribute to, and address problems in living.

Social workers promote social justice and social change with and on behalf of clients. “Clients” is used inclusively to refer to individuals, families, groups, organizations, and communities. Social workers are sensitive to cultural and ethnic diversity and strive to end discrimination, oppression, poverty, and other forms of social injustice. These activities may be in the form of direct practice, community organizing, supervision, consultation administration, advocacy, social and political action, policy development and

UNIVERSITY PARK CAMPUS ACADEMIC CENTERS

City Center Front of Building (12th & Olive)

Orange County Faculty Parking Lot

MRF Lot B San Diego Building Parking Lot

SWC Lot B Skirball Front of Building

VKC McCarthy Quad

WPH McCarthy Quad


https://trojansalert.usc.edu

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implementation, education, and research and evaluation. Social workers seek to enhance the capacity of people to address their own needs. Social workers also seek to promote the responsiveness of organizations, communities, and other social institutions to individuals’ needs and social problems.

The mission of the social work profession is rooted in a set of core values. These core values, embraced by social workers throughout the profession’s history, are the foundation of social work’s unique purpose and perspective:

▪ Service ▪ Social justice ▪ Dignity and worth of the person ▪ Importance of human relationships ▪ Integrity ▪ Competence

This constellation of core values reflects what is unique to the social work profession. Core values, and the principles that flow from them, must be balanced within the context and complexity of the human experience.

XVI.COMPLAINTS

If you have a complaint or concern about the course or the instructor, please discuss it first with the instructor. If you feel cannot discuss it with the instructor, contact the chair of the [xxx]. If you do not receive a satisfactory response or solution, contact your advisor and/or Vice Dean Dr. Paul Maiden for further guidance.

XVII.TIPS FOR MAXIMIZING YOUR LEARNING EXPERIENCE IN THIS COURSE

✓ Be mindful of getting proper nutrition, exercise, rest and sleep! ✓ Come to class. ✓ Complete required readings and assignments BEFORE coming to class. ✓ BEFORE coming to class, review the materials from the previous Unit AND the current Unit, AND

scan the topics to be covered in the next Unit. ✓ Come to class prepared to ask any questions you might have. ✓ Participate in class discussions. ✓ AFTER you leave class, review the materials assigned for that Unit again, along with your notes

from that Unit. ✓ If you don't understand something, ask questions! Ask questions in class, during office hours,

and/or through email! ✓ Keep up with the assigned readings.

Don’t procrastinate or postpone working on assignments.


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